Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 281521 | NY |
NPI | 1053630798 |
---|---|
Provider Name | Dr. Gagandeep Singh |
First Address | Jamaica, NY 11418-2832 |
Second Address | Jamaica, NY 11418-2832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2010 |
Last Update Date | 19/06/2017 |